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<!DOCTYPE html>
<html>
<head>
    <meta charset="UTF-8">
    <title>Title</title>

</head>
<body>
<form action="__SELF__" method="post">
    <!--是否填写国家统计局一套表:<input type="radio" name="QA18" value="是" checked="checked"> 是-->
    <!--<input type="radio" name="QA18" value="否" > 否<br>-->
    <!--企业机构代码:<input type="text" name="QA03"><br>-->
    <!--报表编号:<input type="text" name="QA01"><br>-->
    <!--<input type="submit" value="添加">-->
    <h3>
        企业基本信息填报：
    </h3>
    <table border="1" width="100%" class="table_a">
        <tr>
            <td width="25%">报表编号（QA01）</td>
            <td><input type="text" name="QA01" style="line-height:20px" /></td>
        </tr>
        <tr>
            <td>是否填写国家统计局一套表（QA18）</td>
            <td><input type="radio" name="QA18" value="1" checked="checked"> 是
                <input type="radio" name="QA18" value="2" > 否</td>
        </tr>
        <tr>
            <td>企业组织机构代码(QA03)</td>
            <td><input type="text" name="QA03" /></td>
        </tr>
        <tr>
            <td>行政区划代码（QA19）</td>
            <td><input type="text" name="QA19" /></td>
        </tr>
        <tr>
            <td>企业（单位）详细名称(QA04)</td>
            <td><input type="text" name="QA04" /></td>
        </tr>
        <tr>
            <td>法人性质（QA15）</td>
            <td><input type="text" name="QA15" /></td>
        </tr>
        <tr>
            <td>企业（单位）通讯地址(QA05)</td>
            <td><input type="text" name="QA05" /></td>
        </tr>
        <tr>
            <td>邮政编码（QA06）</td>
            <td><input type="text" name="QA06" /></td>
        </tr>
        <tr>
            <td>企业（单位）注册地址(QA07)</td>
            <td><input type="text" name="QA07" /></td>
        </tr>
        <tr>
            <td>企业负责人(QA08)</td>
            <td><input type="text" name="QA08" /></td>
        </tr>
        <tr>
            <td>联系电话（QA09）</td>
            <td><input type="text" name="QA09" /></td>
        </tr>
        <tr>
            <td>传真(QA10)</td>
            <td><input type="text" name="QA10" /></td>
        </tr>
        <tr>
            <td>统计负责人(QA20)</td>
            <td><input type="text" name="QA20" /></td>
        </tr>
        <tr>
            <td>填报人（签章）(QA11)</td>
            <td><input type="text" name="QA11" /></td>
        </tr>
        <tr>
            <td>填报人电话(QA17)</td>
            <td><input type="text" name="QA17" /></td>
        </tr>
        <tr>
            <td>填报时间（QA12）</td>
            <td style="color:blue"><input type="text" name="QA12" />&nbsp;（填写格式如：2010-01-01）</td>
            <!-- <td>填写格式如：2010-01-01</td> -->
        </tr>
        <tr>
            <td>E-mail(QA13)</td>
            <td><input type="text" name="QA13" /></td>
        </tr>
        <tr>
            <td>网址(QA14)</td>
            <td><input type="text" name="QA14" /></td>
        </tr>
        <tr>
            <td colspan="2" align="center">
                <input type="submit" value="保存">
            </td>
        </tr>
    </table>
</form>
</body>
</html><?php }} ?>